Organization
MAINE WEST SCHOOL BASED HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY B CARLSON APN (CLINIC MANAGER)
(801) 803-9592
Entity
Organization
Contact information
Practice address
1755 S WOLF RD STE E103, DES PLAINES, IL 60018-1923
(847) 803-5591
(847) 825-4060
Mailing address
1755 S WOLF RD STE E103, DES PLAINES, IL 60018-1923
(847) 803-5591
(847) 825-4060
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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